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Kentucky rates for HCPCS 67101

Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.73 / $397.64 / $800.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.31 / $582.14 / $817.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.52 / $355.94 / $572.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.49 / $717.49 / $1,318.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $347.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.94 / $640.17 / $867.18